Arizonaffcep

Easy...VFIB is "road-noise," as true VFIB is non-conducive to life. Anyone ACTUALLY in VFIB is a code. Take your monitor leads off the boney prominances...lift the monitor off the metal cot and see what happens.

Here's a real-life scenario that happened early this AM...we had a 92yof who had AFIB with RVR...given Beta Blockers to no avail...About the only thing we did different in flight from the ED was upped her O2 from 2lpm via N/C to 15 via NRB. Which, after about 2 minutes...converted her to sinus tach at 110. The point...she was hypoxic with a POx of 98-100% on the 2lpm, but with an increased O2, she converted.

Ya...that would be a golden moment!

Found this...thought it might apply... Maxine_5.bmp

We had a similar issue here in Tucson, however the average wait times are no where near over an hour. We tried everything...from different divert polices, rotations, etc. Now what we use is a "no divert policy." What that means is, hospitals are NOT allowed to go "on divert" unless it's an extreem measure (ie internal disaster such as flooding, bomb scare, etc.). That's it. No if's and's or but's! Funny thing is, it seems to work! The hospitals have really responded to the back up by upping their "flow-through" rates. Now, the average wait time is around 15-20 min, IF there is a wait. Most hospitals around here try to keep several (1-3) beds open for the random train-wreck from triage or EMS-whichever fills them first.

18...moved from Scottsdale to Tucson for college...haven't left yet . How old were you when you first saw an adult magazine?

And it does! The body is smart! It starts a huge chemical release to try to clamp down on the bleeding vessles, plus you've got the whole clotting cascade going on. The problem...the bleeding can be more than the body can handle. That and the body can "run out" of clotting factors (ie, they've been used up, to no avail), leading to DIC. A tourniquet is ment for such instances...which usually manifests itself as arterial bleeds. Here's a link if you want to read up on clotting cascade stuff... http://themedicalbiochemistrypage.org/blood-coagulation.html

Isn't that what happens when you let the milk sit out too long?

ROFL! I doubt it! Not after McCartney's divorce!

Sorry about that...still trying to figure this new thing out...anyway, I disagreed with the no need to have parties. While having a budget for parties 3 times the size of the educational budget is sad...but it's important for moral (IMHO) to have a party or two a year, but a kind of formal "awards banquet" kinda thing. It would also be a good time to launch goals and what not for the new year.

21...it was the first time my pants split on scene...(since then...I tend to wear underwear that's the same color as my pants...) When was the first time you rode a horse (read as: the four legged animal)?

Had that for dinner...soooooo good!

I think I'm gonna sit back with some popcorn and watch...

I don't think that has anything to do with "willing" someone to die...but proves the power of the psychie (sp?).

FD...sorry to hear about your loss! Our thoughts and prayers are with you!

I disagree. There should be at least an annual awards banquet, or something to honor employees in a formal setting. I personally would like to see something like that twice a year...good for moral (if budget lets). Now...shouldn't be a "lets get sloshed and act like an ignorant bunch of monkeys" party, but it should be fun. Happy employees=better working conditions=better service for customer=better PCR's=better pay, or something not too dissimilar.

"Double dumbass on you!"

I can see you don't have kids... I think it was Lake Taho...when I was around 6 months...and no...I don't remember it. My first memory of a vacation was a stay in La Jolla where we used to go when I was a kid. I don't know how old I was, maybe around 5 or 6. How old were you when you stopped getting excited at seeing a train?!

At that point...either my wife...or my pilot...i guess for the same reason (to get off) but with different meanings...

15...Fanciful Fish (Salt water aquarium store) How old were you when you realized what a true sanctuary a bathroom can actually be?

I don't think the article was about playing with poop! J/K...ya...this info has been out for YEARS.

UNIVERSAL HEALTHCARE!...Oh...wait...

Here ya go! http://www.commonplacebook.com/jokes/gay_j...ow_youre_5.shtm

A similar situation was presented in one of Michael Crichton's last books, NEXT.

Arizona's funky (not that this should be surprising...) but if you read the letter of the law (on highways) the ULTIMATE authority is actually DOT...not PD/FD/HP, etc. However...on surface streets, PD almost NEVER sets up command. The one's are FD...no real 3rd service ambos that don't bow to FD...so that eliminates most.